Laparoscopic Adjustable Gastric Banding versus Open Vertical Banded Gastroplasty: A Prospective Randomized Trial

Dielen, François M. H. van; Soeters, P.B.; Brauw, L. M. de; Greve, Jan

doi:10.1381/096089205774512456

Cited by 74 publications

(74 citation statements)

References 12 publications

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“…• Liquids should be zero calories and noncarbonated: [48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64] ounces should be consumed daily to maintain adequate hydration status.…”

Section: Nutritionmentioning

confidence: 99%

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Past, present, and future: Critical analysis of use of gastric bands in obese patients

Snyder¹,

Worley²,

Aluka³

et al. 2010

DMSO

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Adjustable gastric banding (AGB) is quickly becoming the most popular bariatric operation performed in the United States and Canada. Patients are particularly fond of the simplicity of the tool, the relatively low morbidity of the surgery, the quick recovery, and overall results. The gastric band has evolved over its 35-year history into a very successful adjustable tool used to restrict food consumption and limit caloric intake. The percent of excessive weight loss after banding can range from 30%-60% and depends on the time out from surgery. Along with weight loss, there is good resolution of the co-morbid conditions that are associated with excess weight and improvements in quality of life demonstrated after banding. Nutrition and follow up are extremely important after banding to ensure good compliance and adequate weight loss. Failure to follow the postoperative diet, exercise regiment, or mechanical failure of the band can lead to failure to lose adequate weight. While there are particular early and late complications associated with this surgery, the safety profile of the AGB is very appealing when compared to other bariatric operations. As we continue to reduce the morbidity of the procedure, the simple adjustable band concept has a lot of potential to remain a primary technique of maintaining long term weight loss. In conclusion, AGB has and continues to play an important role in the treatment of morbid obesity. It offers reasonably good weight loss results with very little morbidity, and the future of the adjustable band is bright.

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Section: Nutritionmentioning

confidence: 99%

“…[53][54][55] In these studies, there were missing outcome data and inconclusive weight loss results. In one study, a statistical difference was reported in operative times and duration of hospital stay in favor of AGB.…”

Section: Comparison Of Banding With Other Bariatric Proceduresmentioning

confidence: 99%

Past, present, and future: Critical analysis of use of gastric bands in obese patients

Snyder¹,

Worley²,

Aluka³

et al. 2010

DMSO

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“…As a consequence, the rate of weight loss is usually slower than that obtained after vertical gastroplasty 24 or bypass. 17 Thus, the triggering of compensatory mechanisms opposing weight loss by energy sparing might be blunted.…”

Section: 23mentioning

confidence: 99%

Resting energy expenditure and fuel metabolism following laparoscopic adjustable gastric banding in severely obese women: relationships with excess weight lost

et al. 2006

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Background: Although adjustable gastric banding is increasingly proposed for massively obese patients, little is known about the modifications of resting metabolic rate and substrate oxidation or about metabolic determinants of weight loss following this type of bariatric surgery. Objectives: To evaluate the relationships between excess weight loss, resting metabolic rate (RMR) and substrate oxidation, and to identify metabolic predictive factors of weight loss after adjustable gastric banding. Subjects: Seventy-three obese nondiabetic women aged 39.1710.4 years (18.4-64.8). Design: Resting metabolic rate and substrate oxidation (indirect calorimetry), body composition (bio-impedance), lipid profile and insulin sensitivity indexes were assessed before and after (13.376.0 months, range 6.0-31.1) adjustable gastric banding. Patients were classified according to postsurgery time: group A (6-12 months, n ¼ 39); group B (12-18 months, n ¼ 21); group C (418 months, n ¼ 13). Metabolic parameters associated with the percentage of excess weight lost (EWL) 1 year after surgery were analyzed in univariate and multivariate regressions. Results: Mean weight loss was 26.2711.4 kg. Mean fat mass loss was 17.378.1 kg. All biological parameters associated with excess weight improved after surgery. Excess weight lost at 1 year was 45.9717.1% in group A, 47.4717.1% in group B and 51.4718.5% in group C (P ¼ NS). Resting metabolic rate/fat-free mass (FFM) slightly decreased (28.973.26 vs 30.372.8, Po0.00001) and RMR/body weight slightly increased (18.572.8 vs 17.371.9, Po0.00001) after surgery. Respiratory quotient (0.8170.06 vs 0.8270.05) and FFM-adjusted lipid oxidation (1.1070.41 vs 1.0570.33 mg/min/kg FFM) were not significantly modified after surgery. In multiple linear regression analysis, difference in RMR/body weight, difference in energy sparing, baseline BMI and postsurgery time, were significantly and independently correlated with EWL (total R 2 ¼ 72.5%). Conclusions: Adjustable gastric banding promotes gradual but sustained weight loss and is associated with long-term conservation of lipid oxidation and energy expenditure. The individual variability in energy sparing mechanisms predicts weight loss during the first year after surgery.

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“…The included studies compared a variety of interventions, which are summarised in Table 12 and displayed visually in Figure 1 QoL was reported by just five studies, 86,100,105,[113][114][115][116]124 (three RCTs and two cohort studies) and comorbidities were reported by eight studies 88,89,97,107,[113][114][115][116][117][118]127,129 (seven RCTs and one cohort study).…”

Section: Interventionsmentioning

confidence: 99%

“…The minimum duration of follow-up for inclusion in this review was 12 months, and most studies followed participants for 12,24 127,128 (24 months and 84 months). The longest follow-up was for 10 years by the SOS study ( Table 13).…”

Section: Follow-upmentioning

confidence: 99%

The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation

2010

Clinical Governance: An International Journal

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Laparoscopic Adjustable Gastric Banding versus Open Vertical Banded Gastroplasty: A Prospective Randomized Trial

Abstract: This RCT demonstrates that, despite the initial better weight loss in the VBG group, based on complication rates and clinical outcome, LAGB is preferred. It had a shorter LOS and less postoperative morbidity.

Cited by 74 publications

References 12 publications

Past, present, and future: Critical analysis of use of gastric bands in obese patients

Past, present, and future: Critical analysis of use of gastric bands in obese patients

Resting energy expenditure and fuel metabolism following laparoscopic adjustable gastric banding in severely obese women: relationships with excess weight lost

The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation

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